What should the practical nurse (PN) do to assess the client with auditory hallucinations?

In assessing a client with auditory hallucinations, it's crucial to gather detailed information about the nature of those hallucinations. By asking what the voices are saying, the practical nurse can better understand the client's experience, which can inform the diagnosis and the development of an appropriate care plan. This inquiry helps establish rapport and promotes therapeutic communication, allowing the client to express their thoughts and feelings about the hallucinations.

Furthermore, understanding the content of the hallucinations provides insight into the client's mental state and may reveal any associated risks, such as harmful thoughts or intentions. By focusing on the specifics of the hallucinations, the nurse can involve the client in their care, enhancing their sense of agency and control.

It is important to note that simply asking if the client feels safe does not provide enough information about their auditory experiences. Encouraging the client to ignore the voices can diminish the seriousness of their experience and may prevent effective intervention. Offering medication without assessing the client's specific situation could result in inappropriate treatment, as medication should be considered based on a comprehensive evaluation of the client's needs.